Individual provider Active NPI

Joseph Chase Robillard, NP

  • Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1831767979
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017617 Issued in CA
Practice address
10333 El Camino Real
Atascadero, CA 93422-5808
Phone
(805) 468-2000
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704282567NSA21088 MI
Nurse Practitioner 363L00000X 95017617 CA Primary

Addresses

Primary practice location

10333 El Camino Real
Atascadero, CA 93422-5808

Mailing address

10333 El Camino Real
Atascadero, CA 93422-5808

Other practice location 1

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 682-7111

Other identifiers 2

IdentifierTypeStateIssuer
F03210420OtherAANP FNP CERTIFICATION NUMBER
4704282567NSA21088OtherMIDEPARTMENT LICENSING AND REGULATORY AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217001783 CA Practitioner - Nurse Practitioner 1052715026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

1606 E Clark Ave
Suite 2
Santa Maria, CA 93455-7507
Phone (805) 569-7351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017617CAMDNurse Practitioner
4704282567NSA21088MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Dec 1, 2021 Accepting new patients
Cottage Clinical Network, LLC CurrentSince Oct 1, 2024 Accepting new patients
Department of State Hospitals CurrentSince Sep 6, 2022 Accepting new patients
Cep America-California CurrentSince Dec 1, 2021 Accepting new patients
Department of State Hospitals Current Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000

328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600

751 Medical Center Ct
#1182
Chula Vista, CA 91911

7070 Hollister Ave
Ste C23
Goleta, CA 93117

7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1606 E Clark Ave
#102
Orcutt, CA 93455

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348

3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996

3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351

1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565

5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279

3596 Skyway Dr
Ste A
Santa Maria, CA 93455

1606 E Clark Ave
Ste 2
Santa Maria, CA 93455

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1831767979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225808",
            "telephone_number": "805-468-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Pueblo St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054353",
            "country_code": "US",
            "telephone_number": "805-682-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBILLARD",
        "first_name": "JOSEPH",
        "middle_name": "CHASE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704282567NSA21088",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP FNP CERTIFICATION NUMBER",
            "identifier": "F03210420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT LICENSING AND REGULATORY AFFAIRS",
            "identifier": "4704282567NSA21088",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.